Jacome, Tomas Humberto
Jacome, Tomas Humberto is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 102 , Baton Rouge LA 70808-4363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Jacome, Tomas Humberto can be contacted via phone (225) 765-2048.Contact Information
Primary practice address
7777 Hennessy Blvd Ste 102
Baton Rouge LA 70808-4363
Phone: (225) 765-2048
Fax: (225) 765-1958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 025420 | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 025420 | Louisiana |
Profile Details
| NPI number | 1477554079 |
|---|---|
| LBN Legal business name | Jacome, Tomas Humberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Mar 26th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477554079 | NPPES |
| Mississippi | MEDICAID | 09102317 | |
| Mississippi | MEDICAID | 1575674 | |
| Mississippi | Other | 363070 |
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